social phobias

Social anxiety disorders are a constant fear of embarrassment, ridicule and humiliation in society. Affected children typically steer clear of opportunities that could provoke a “scrutiny” (z. B. at school). The diagnosis is made clinically. Treatment includes behavior therapy and in severe cases, medication with SSRIs.

The first symptoms in adolescents may be excessive worry before participating in a social event or excessive preparation for a school presentation. The first symptoms in children may be tantrums, crying, freezing, clinging or withdrawal in social situations. Avoidance behavior (eg, refusal to go to school;. Not going to parties, not to eat in front of others) can follow. The complaints often have a somatic character ( “I have a stomach ache,” “I have a headache”). In some cases, as a result of these complaints to observe numerous doctor visits and investigations.

Social anxiety disorders are a constant fear of embarrassment, ridicule and humiliation in society. Affected children typically steer clear of opportunities that could provoke a “scrutiny” (z. B. at school). The diagnosis is made clinically. Treatment includes behavior therapy and in severe cases, medication with SSRIs. The first symptoms in adolescents may be excessive worry before participating in a social event or excessive preparation for a school presentation. The first symptoms in children may be tantrums, crying, freezing, clinging or withdrawal in social situations. Avoidance behavior (eg, refusal to go to school;. Not going to parties, not to eat in front of others) can follow. The complaints often have a somatic character ( “I have a stomach ache,” “I have a headache”). In some cases, as a result of these complaints to observe numerous doctor visits and investigations. These children are terrified that they humiliate themselves in front of their classmates when they answer or a question wrong saying something wrong. They are embarrassed and sometimes even vomiting. In some cases, it comes after an unfortunate and humiliating incident to a social anxiety disorder. In severe cases, the child may even refuse to talk on the phone or to leave the house. Diagnosis The fear must consist ? 6 months, and consistently occur under similar circumstances (eg. As the children are concerned about all school presentations, and not just occasionally or for certain courses). The fear must occur in situations with peers and not only during interaction with adults. Therapy Behavior Therapy Sometimes a anxiolytics A cornerstone of treatment is behavioral therapy. The child should not be allowed to stay away from school. The absence from school just makes it even more difficult for the child to go back. When children and young people are reluctant to start a behavioral therapy or not respond appropriately, anxiolytics can help as an SSRI (see table: drugs for long-term treatment of anxiety and related disorders). Treatment with SSRIs can also reduce the anxiety sufficient to help the child to participate in a behavioral therapy.

Health Life Media Team

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